Comparison of Drainage Volume of Chronic Subdural Hematoma According to Drainage Catheter Type

Title
Comparison of Drainage Volume of Chronic Subdural Hematoma According to Drainage Catheter Type
Authors
박형천
Keywords
Chronic subdural hematoma, catheter, drainage
Issue Date
2013
Publisher
YONSEI MEDICAL JOURNAL
Series/Report no.
YONSEI MEDICAL JOURNAL ; Vol.54 no.5 Startpage 1091 Endpage 1097
Abstract
Purpose: To assess the therapeutic value of two different drainage catheters in treating chronic subdural hematoma (CSDH). Materials and Methods: Two types of drainage catheters can be used to treat CSDH according to the position of holes in the catheter: open-type or closed-type catheter. In this retrospective study, 199 total patients with CSDH were reviewed according to catheter type. Among them, 84 patients were and 113 in the closed-type group (holes positioned within the distal-most 1 cm of the catheter). The surgeon selected the catheter type. Total drainage volume, initial drainage volume within 2 days, percentage of initial drainage volume per total drainage volume, duration of catheter insertion, and reoperation rate were compared. Results: Total drainage volume was not different between the two groups (p=0.333). The initial drainage volume within 2 days was larger in the open-type group than closed-type group (p=0.024), but the percentage of initial drainage volume per total drainage volume was not different (p=0.354). The duration of catheter insertion was shorter in the open-type group than closed-type group (p=0.015). The reoperation rate of CSDH was also higher in the open-type group than closed-type group (p=0.004). Conclusion: CSDH drainage with an open-type catheter is faster compared with a closed-type catheter, but total drainage volume is similar and reoperation rate is higher. Therefore, the open-type catheter for CSDH drainage has limited clinical value.
URI
http://dx.doi.org/10.3349/ymj.2013.54.5.1091
http://dspace.inha.ac.kr/handle/10505/31277
ISSN
0513-5796
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Medical Science (의학) > Journal Papers, Reports(의학 논문, 보고서)

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